Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVEN CUSTALOW, AGPCNP-BC
ActiveRAVEN CUSTALOW, AGPCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in AYLETT, Virginia. NPI 1669955019 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · AYLETT, VA
Registration Details
- NPI Number
- 1669955019
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2018 (7.8785814897278 yrs)
- Last Updated
- Nov 8, 2024
- License
-
0024176579 (VA)
Practice Information
- Address
-
7864 RICHMOND TAPPAHANNOCK HWYAYLETT, VA, 230093056Browse VA providers · Browse ZIP 23009
- Phone
- 8047692015
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in AYLETT, VA
| Name | Credential | NPI |
|---|---|---|
| LATONIA J MCSWAIN | FNP-C | 1801430434 |
| ANDREA GARRETT | NP | 1518686880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.